CMS Price Transparency Data
Pneumonia vaccine injection
Facility: Wellspan Good Samaritan Hospital
Billing Code: G0009 (HCPCS)
The BaseRate · fair price high confidence
A fair price for this
$105
about 2.2× the $48 Medicare rate · typically $51–$142
modeled estimate · not a bill or quote
Medicare pays $48 Fair price $105 Cash price $162 Hospital's list price $202
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $189 | 395% |
| Blue Cross Blue Shieldmajor | $71 - $216 | 148% |
| Aetnamajor | $34 - $164 | 71% |
| Cignamajor | $129 | 270% |
| Geisinger | $121 | 253% |
| UPMC Health Plan | $121 | 253% |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Wellspan Good Samaritan Hospital
Compare: Pneumonia vaccine injection at other PA hospitals
- Geisinger Jersey Shore Hospital · Jersey Shore $18
- Jefferson Lansdale Hospital · Lansdale $21
- Conemaugh Memorial Medical Center · Johnstown $21
- Jefferson Abington Hospital · Abington $23
- Thomas Jefferson University Hospital · Philadelphia $25
- Conemaugh Nason Medical Center · Roaring Spring $29
- Saint Vincent Hospital · Erie $33
- Allegheny Valley Hospital · Natrona $33
Insurance negotiated median for the same procedure, sorted lowest first.